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What is the appeal of 'policlinics' in some parts of Ecuador?
- A. Local physicians offer free service and medication samples on policlinic days
- B. Policlinics offer inexpensive 'general prevention packages,' which include a variety of health tests
- C. Patients may visit doctors of multiple specialties at the same time
- D. Policlinics are more sanitary than most public health care clinics
Correct Answer: B
Rationale: Inexpensive prevention packages attract patients seeking comprehensive care.
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The LEARN acronym is a useful tool for treating patients from diverse backgrounds. What does the 'A' stand for?
- A. Acknowledge and discuss differences and similarities
- B. Admit personal shortcomings regarding patients' cultural backgrounds
- C. Advocate treatment
- D. Argue for medical perceptions and understandings of the problem
Correct Answer: A
Rationale: Acknowledge' in LEARN promotes understanding of cultural differences and similarities.
The theorist who believes in social development is
- A. Sigmund Freud
- B. Carl Rogers
- C. Lev Vygotsky
- D. Erik Erikson
Correct Answer: D
Rationale: Erik Erikson's psychosocial stages focus on social development across the lifespan.
Which of these clients is at greatest risk for falls?
- A. A 77 year old female client in a client room that has low glare floors.
- B. An 87 year old female client in a client room that has low glare floors.
- C. A 27 year old sedated male client.
- D. A 37 year old male client with impaired renal perfusion.
Correct Answer: B
Rationale: Elderly clients, especially those over 85, are at higher risk for falls.
The child's ability to understand logical reasoning develops during
- A. Sensorimotor
- B. Preoperational
- C. Concrete operational
- D. Formal operational
Correct Answer: C
Rationale: Logical reasoning about concrete events develops in the concrete operational stage (Piaget).
As death approaches, a patient diagnosed with acquired immunodeficiency syndrome (AIDS) says, I dont want to see a lot of visitors anymore. Just my parents and my sibling can come in for a while each day. What action should the nurse take?
- A. Ask the patient to reconsider the decision because many interested and caring friends can be sources of support.
- B. Discuss the request with the parents and sibling. Suggest that they explain the patients decision to friends.
- C. Suggest that the patient discuss these wishes with the health care provider.
- D. Place a no visitors sign on the patients door.
Correct Answer: B
Rationale: As many patients approach death, they begin to withdraw. In the stage of acceptance, many patients are exhausted and tired, and interactions of a social nature are a burden. Many prefer to have someone present at the bedside who will sit without constantly talking. The correct response demonstrates the nurses advocacy for the patients preferences.